PLATELET COUNT/BIPOLAR SPLEEN DIAMETER RATIO FOR THE PREDICTION OF ESOPHA-GEAL VARICES: THE SPECIAL EGYPTIAN SITUATION

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ABU EL MAKAREM MONA A.; SHATAT MOHAMED E.; SHAKER YEHYA; ABDEL ALEEM AHMAD A.; EL SHERIF ALI M.; ABDEL MOATY MAYSA; ABDEL GHANY HOSNY S.; ELAKAD ATEF; KAMAL ELDEEN AMAL M.

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Journal: Hepatitis Monthly Year:2011 | Volume:11 | Issue:4 (33) Page(s): 278-284

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Title

PLATELET COUNT/BIPOLAR SPLEEN DIAMETER RATIO FOR THE PREDICTION OF ESOPHA-GEAL VARICES: THE SPECIAL EGYPTIAN SITUATION

Author(s)

Keywords

CIRRHOSIS

PLATELET COUNT

BIPOLAR DISORDERS

SPLEEN

Abstract

Background: Esophageal variceal hemorrhage is a devastating complication of portal hypertension that occurs in approximately one-third of cirrhotic patients.Objectives: We assessed the value of the PLATELET COUNT/ bipolar SPLEEN diameter ratio as a noninvasive parameter for the prediction of esophageal varices (EVs) in Egyptian cirrhotic patients.Patients and Methods: Laboratory and ultrasonographic and imaging variables were prospectively evaluated in 175 patients with liver CIRRHOSIS. All patients underwent upper gastrointestinal endoscopy. Patients with active gastrointestinal bleeding at the time of admission were excluded.Results: The PLATELET COUNT/ bipolar SPLEEN diameter ratio in patients with EVs was significantly lower than in patients without EVs. In an analysis of the receiver operating characteristic curves (ROCs), we calculated an optimal cutoff value of 939.7 for this ratio, which gave 100% sensitivity and negative predictive values, 86.3% specificity, a 95.6% positive predictive value, and an area under the ROC curve of 0.94±0.02, reflecting its overall diagnostic accuracy. These findings were extended to a subset analysis of compensated cirrhotic patients.Conclusions: The PLATELET COUNT/ bipolar SPLEEN diameter ratio has excellent accuracy in the noninvasive assessment of EVs in patients with compensated or decompensated liver CIRRHOSIS. It is easy to calculate and can lower the financial and sanitary burdens of endoscopy units, especially in developing countries.

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APA: Copy

ABU EL MAKAREM, MONA A., SHATAT, MOHAMED E., SHAKER, YEHYA, ABDEL ALEEM, AHMAD A., EL SHERIF, ALI M., ABDEL MOATY, MAYSA, ABDEL GHANY, HOSNY S., ELAKAD, ATEF, & KAMAL ELDEEN, AMAL M.. (2011). PLATELET COUNT/BIPOLAR SPLEEN DIAMETER RATIO FOR THE PREDICTION OF ESOPHA-GEAL VARICES: THE SPECIAL EGYPTIAN SITUATION. HEPATITIS MONTHLY, 11(4 (33)), 278-284. SID. https://sid.ir/paper/306378/en

Vancouver: Copy

ABU EL MAKAREM MONA A., SHATAT MOHAMED E., SHAKER YEHYA, ABDEL ALEEM AHMAD A., EL SHERIF ALI M., ABDEL MOATY MAYSA, ABDEL GHANY HOSNY S., ELAKAD ATEF, KAMAL ELDEEN AMAL M.. PLATELET COUNT/BIPOLAR SPLEEN DIAMETER RATIO FOR THE PREDICTION OF ESOPHA-GEAL VARICES: THE SPECIAL EGYPTIAN SITUATION. HEPATITIS MONTHLY[Internet]. 2011;11(4 (33)):278-284. Available from: https://sid.ir/paper/306378/en

IEEE: Copy

MONA A. ABU EL MAKAREM, MOHAMED E. SHATAT, YEHYA SHAKER, AHMAD A. ABDEL ALEEM, ALI M. EL SHERIF, MAYSA ABDEL MOATY, HOSNY S. ABDEL GHANY, ATEF ELAKAD, and AMAL M. KAMAL ELDEEN, “PLATELET COUNT/BIPOLAR SPLEEN DIAMETER RATIO FOR THE PREDICTION OF ESOPHA-GEAL VARICES: THE SPECIAL EGYPTIAN SITUATION,” HEPATITIS MONTHLY, vol. 11, no. 4 (33), pp. 278–284, 2011, [Online]. Available: https://sid.ir/paper/306378/en

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